Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

{"title":"Hair fringe stickers: A novel method to keep hair out of the operating field","authors":"Chia Yin Goh, Sachin Teelucksingh, Alexandra Sutcliffe, Chad Chang","doi":"10.1016/j.bjps.2025.03.043","DOIUrl":"10.1016/j.bjps.2025.03.043","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"105 ","pages":"Pages 1-2"},"PeriodicalIF":2.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term breast sensation following breast augmentation: A retrospective analysis of influencing factors","authors":"Galip Gencay Üstün ,&nbsp;Berkay Sert ,&nbsp;Zeynep Nesil Demirli ,&nbsp;Osman Dağ ,&nbsp;Hakan Uzun ,&nbsp;Figen Özgür","doi":"10.1016/j.bjps.2025.03.041","DOIUrl":"10.1016/j.bjps.2025.03.041","url":null,"abstract":"<div><h3>Background</h3><div>Breast augmentation is associated with high patient satisfaction; however, preserving breast sensation remains challenging. This study aimed to evaluate long-term breast sensation and identify factors affecting sensation following breast augmentation.</div></div><div><h3>Methods</h3><div>This retrospective study included breast augmentation patients (experimental group) and an unoperated control group to evaluate the sensory changes following surgery. Sensory assessments were conducted using the Semmes–Weinstein monofilament test at 9 specific points on each breast, measuring central, peripheral and total sensory values. Comparisons of the sensory outcomes were made between the experimental and control groups, as well as within the experimental group. Factors such as smoking, systemic diseases, pregnancy, breastfeeding, implant plane, implant size and type and complications were analysed for their impact on sensation.</div></div><div><h3>Results</h3><div>The study included 55 breast augmentation patients (110 breasts) and 20 controls (40 breasts). Sensory outcomes were significantly better in controls than in the operated group. Smoking, systemic diseases, implant size and type showed no significant impact on sensation. Pregnancy and breastfeeding were associated with better central sensation, whereas peripheral sensation was unaffected. Subglandular placement preserved central sensation better than dual-plane 2 and 3 placements but significantly reduced peripheral sensation. Post-operative complications were linked to decreased central sensation.</div></div><div><h3>Conclusions</h3><div>Breast augmentation is associated with decreased sensation compared to controls. Subglandular placement preserves central sensation better than dual-plane placement. Smoking, systemic diseases and implant size and type were not significantly related to sensory outcomes, while post-operative surgical complications were associated with diminished central sensation.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 351-358"},"PeriodicalIF":2.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143734658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nerve block for pain management in pediatric patients undergoing cleft lip and palate repair: A systematic review and network meta-analysis","authors":"Nawaf Alhindi ,&nbsp;Houriah Nukaly ,&nbsp;Lina Abdulrahman ,&nbsp;Sarah Alzolaibani ,&nbsp;Mousa Akkour ,&nbsp;Abdulaziz Abumelha ,&nbsp;Deemah Alhuraish ,&nbsp;Razan Albrahim ,&nbsp;Reemah AlQahtani ,&nbsp;Sami I. Alissa","doi":"10.1016/j.bjps.2025.03.036","DOIUrl":"10.1016/j.bjps.2025.03.036","url":null,"abstract":"<div><h3>Background</h3><div>Cleft lip and palate, a common congenital anomaly, occurs in approximately 1 in every 1000–1500 births. Effective postoperative pain management in pediatric patients undergoing repair for cleft lip and palate remains a challenge. Therefore, this systematic review and network meta-analysis aimed to assess the effectiveness of nerve block in controlling postoperative pain compared to other methods in pediatric patients who underwent cleft lip and palate repair.</div></div><div><h3>Methods</h3><div>This review adhered to the preferred reporting items for systematic reviews and meta-analysis guidelines. A comprehensive search was conducted across multiple databases, including Embase, MEDLINE, Cochrane, and SCOPUS, without time frame limitation.</div></div><div><h3>Results</h3><div>A total of 8 randomized controlled trials comprising 550 patients were included. The findings of the study indicate that dexmedetomidine provided longer duration of nerve block (incremental value = 6.33, CI 95%, 1.49: 11.16) compared to the control. Thus, the probability of dexmedetomidine achieving longer nerve block is 89.98%. This was followed by fentanyl and pethidine.</div></div><div><h3>Conclusion</h3><div>This study supports the efficacy and safety of nerve blocks, particularly with dexmedetomidine, for postoperative pain management in pediatric cleft lip and palate repair. Adjuvant-enhanced nerve blocks offer extended pain relief and reduce the reliance on opioids.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"105 ","pages":"Pages 55-64"},"PeriodicalIF":2.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing economic disparities in plastic surgery education: Reply to \"The cost of plastic surgery conferences for medical students\"","authors":"Daniel Najafali ,&nbsp;John A. Toms","doi":"10.1016/j.bjps.2025.03.035","DOIUrl":"10.1016/j.bjps.2025.03.035","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 198-199"},"PeriodicalIF":2.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immediate versus delayed contralateral symmetrisation in autologous breast reconstruction: A comparative study","authors":"Benedetta Peltristo ,&nbsp;Maria Chicco ,&nbsp;Alexandra Molina","doi":"10.1016/j.bjps.2025.03.028","DOIUrl":"10.1016/j.bjps.2025.03.028","url":null,"abstract":"<div><h3>Introduction</h3><div>The optimal timing for contralateral breast symmetrisation in autologous breast reconstruction remains a controversial and under-researched topic, even though approximately 50% of patients will undergo contralateral symmetrisation procedures at some point in their reconstructive journey.</div></div><div><h3>Methods</h3><div>We conducted a retrospective comparative study including patients who underwent unilateral autologous breast reconstruction with either immediate or delayed contralateral breast symmetrisation from January 2018 to December 2022 at the Queen Victoria Hospital. Data were collected on patient age, timing of breast reconstruction and symmetrisation, flap type, operative time of the reconstructive procedure, length of hospital stay, complications requiring return-to-theatre, total number of surgical procedures and length of the reconstructive journey.</div></div><div><h3>Results</h3><div>Overall, 417 patients were divided into two groups based on the timing of contralateral symmetrisation (Group 1: 299 patients with delayed symmetrisation and Group 2: 118 patients with immediate symmetrisation). The two groups were comparable in terms of age and surgical characteristics. Although immediate symmetrisation significantly increased the operative time of the reconstructive procedure, there was no increase in the rate of complications requiring return-to-theatre or in the length of hospital stay. Patients who underwent immediate symmetrisation had a significantly lower total number of surgical procedures with a shorter reconstructive journey.</div></div><div><h3>Conclusion</h3><div>Our study showed that immediate contralateral breast symmetrisation is safe, reduces the total number of surgical procedures and shortens the reconstructive journey for patients undergoing unilateral autologous breast reconstruction.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 321-327"},"PeriodicalIF":2.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143734686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of myocardial infarction and stroke in patients with keloids: A nationwide population-based cohort study","authors":"Taehee Jo ,&nbsp;Woonhyeok Jeong ,&nbsp;Jeong Yeop Ryu","doi":"10.1016/j.bjps.2025.03.034","DOIUrl":"10.1016/j.bjps.2025.03.034","url":null,"abstract":"<div><h3>Background</h3><div>Keloids represent a form of benign fibroproliferative disorder. Prior studies have linked various fibroproliferative conditions to an increased cardiovascular disease risk; however, the relationship between keloids and major adverse cardiovascular events, such as myocardial infarction (MI) and stroke, remains inadequately explored. A comprehensive nationwide population-based cohort approach was used to examine the cardiovascular disease risk in patients with keloids.</div></div><div><h3>Methods</h3><div>The cohort comprised 554,501 patients with keloid and 1,109,002 matched controls. Primary measures included the incidence rates and incidence rate ratios of MI, ischemic stroke (IS), and hemorrhagic stroke (HS) compared to the matched controls. The study applied a stratified Cox regression hazard model to compute the relative hazards between patients with keloid and the controls.</div></div><div><h3>Results</h3><div>Incidence rate ratios for cardiovascular diseases in patients with keloid, relative to controls, were 1.08 (95% confidence interval [CI], 1.06–1.10) for MI, 1.06 (CI, 1.04–1.08) for IS, and 1.05 (CI, 1.01–1.08) for HS. After adjusting for additional cardiovascular risk factors, a persistent elevated risk for MI and IS was evident in patients with keloid with adjusted hazard ratios (HRs) of 1.04 (CI 1.01–1.07) for MI and 1.03 (CI 1.00–1.07) for IS. Stratified analyses by age, sex, body mass index, and smoking status revealed consistent risk elevations in older individuals (≥50 years), women, obese individuals, and nonsmokers.</div></div><div><h3>Conclusions</h3><div>Keloids are associated with a significant increase in MI and IS risk, independent of the traditional cardiovascular risk factors. This association is particularly prominent in older adults, women, obese individuals, and nonsmokers.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"105 ","pages":"Pages 65-74"},"PeriodicalIF":2.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143800324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter comments on: ‘Comparison of 3D surface and landmark-based analysis methods: The reliability and efficiency in determining asymmetry after facial palsy’","authors":"Vaibhav Sahni","doi":"10.1016/j.bjps.2025.03.033","DOIUrl":"10.1016/j.bjps.2025.03.033","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Page 493"},"PeriodicalIF":2.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143675028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter comments on: ‘International Observerships in Plastic Surgery: Key Insights and Recommendations for Success’","authors":"Vaibhav Sahni","doi":"10.1016/j.bjps.2025.03.032","DOIUrl":"10.1016/j.bjps.2025.03.032","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Page 123"},"PeriodicalIF":2.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In reply to expert commentary on “Mental health status and quality of life is not improved in amputees following targeted muscle reinnervation”","authors":"Harvey Chim","doi":"10.1016/j.bjps.2025.03.027","DOIUrl":"10.1016/j.bjps.2025.03.027","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 489-490"},"PeriodicalIF":2.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to letter comments on: 'Comparison of 3D surface and landmark-based analysis methods: The reliability and efficiency in determining asymmetry after facial palsy'","authors":"Selin Eroglu,&nbsp;Ozlem Ozsoy,&nbsp;Yilmaz Yildirim,&nbsp;Umut Ozsoy,&nbsp;Hilmi Uysal","doi":"10.1016/j.bjps.2025.03.031","DOIUrl":"10.1016/j.bjps.2025.03.031","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 494-495"},"PeriodicalIF":2.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}